Company requests that Mountainland Technical College enroll the employee(s) listed below, in a scheduled course.

Company will be invoiced the discounted Custom Fit Price for the number of individuals listed below.

  • For a live class, Company is reserving seats and may reduce the number of seats up until one week prior to the class starting date. Changes may be submitted by fax or Email. Substitution of individuals is allowed.
  • For an online class, Company will be charged once the employee has completed the first lesson.

Company Information

Company Address*

Course Information

Cost per person or total cost
to be paid by Custom Fit
to be paid by the Company
MM slash DD slash YYYY
MM slash DD slash YYYY
Are you paying by Credit Card?

Employee Information

An email address required for online courses but is optional but will be used to remind the Employee of upcoming classes.
Employee Information*
Full Name
Disclaimer: Trainee information will be used for internal purposes only and will not be sold.